<?
	get_header();
?>
	<div id="main">
			<div class="cont">
				<div id="breadcrumbs">
						<? get_breadcrumbs(); ?>
				</div>
				<div id="bookmarks">
					<? get_bmarks(); ?>
				</div>
				<div id="content-top">
					<div id="content-bottom">
                        <div id="content-center">

                           <div id="content">

                            	<div id="contactus-title" class="alpha">
                            	  	<div id="contactus-note">
                            	  		NOTE: All fields required.
                            	  	</div>
                            	</div>
                             <div id="content-text">
                            	<div id="faq-top-text">
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                            	</div>

                                  <div id="contactus-cont">
                                  		     <div id="message">
		                               			<? echo $_GET['message'];?>
		                                     </div>
		                               <div id="contact-info-top">
		                               		<div id="contact-info-bottom">
		                               			<div id="contact-info-center">

		                               			   <? get_info_address();?>
                                                   <? get_info_phone();?>
                                                   <? get_info_mail();?>
		                               			</div>
                                            </div>
		                               </div>
                                       <form action="/wp-content/themes/VitalResponse/inc/mail.php" method="post">
		                               <div id="contact-form">

                                       		<div id="contactus-name">
                                          	  <input type="text" class="contactus-inpt" value="" name="name">
                                       		</div>
                                       		<div id="contactus-company">
                                               <input type="text" class="contactus-inpt" value="" name="company">
                                       		</div>
                                       		<div id="contactus-email">
                                               <input type="text" class="contactus-inpt" value="" name="email">
                                       		</div>
                                       		<div id="contactus-phone">
                                               <input type="text" class="contactus-inpt" value="" name="phone">
                                       		</div>
                                       		<div id="contactus-subject">
                                                <select id="contactus-drop" name="subj">
												  <option value="1">1</option>
												  <option value="3">2</option>
												  <option value="4">4</option>
												</select>

                                       		</div>
                                       		<div id="contactus-message">
	                                            <textarea name="message" id="contactus-messbox" name="message">
	                                            </textarea>
                                       		</div>

                                       		<input type="submit" name="go" value="" id="contactus-send">
		                               </div>
		                               </form>
                                  </div>
                           </div>

		                </div>
		                </div>
                    </div>
				</div>
					<div id="sidebarcont-top">
					    <div id="sidebarcont-bottom">
							<div id="sidebar">

                            <? get_block_newsletter();?>

                            <? get_block_calendar();?>


							</div>
						</div>
                    </div>
			</div>

	</div>
<?
	get_footer();
?>